joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
of the total number of people with hypertension. No adjustments were made for
ethnicity, deprivation or other factors.
The results of the modelling and the actual diagnosed numbers of patients with
hypertension are given in Table 222. The model does not necessarily represent the
actual number of people who should be diagnosed with hypertension for each practice; it
is only a guide. The characteristics of each practice differ and need to be considered.
The Doncaster model used the gender-age-specific prevalence estimates obtained from
the Health Survey for England (Health Survey for England 2008) which was conducted
during the year 2003. The survey involved an interview and a subsequent nurse visit
where blood pressure was recorded. Hypertension was defined as a systolic blood
pressure of 140mmHg or more or a diastolic blood pressure of 90mmHg or more, or
taking medication prescribed for high blood pressure. Therefore, from the way this
information was collected it should include diagnosed hypertension (those taking the
medication) and an estimate of those with undiagnosed hypertension (as blood pressure
measurements were taken). This provides some explanation as to why the model
estimates are so much higher than the numbers on the practice registers.
The prevalence on the disease registers used to form the official QOF information is
extracted from the Quality Management and Analysis System (QMAS) at the end of
March. However, this information can be extracted at any time point from the local
QMAS system and the information in Table 222 gives this information as at September
2010.
Table 222: Actual diagnosed and modelled hypertension numbers, September 2010
Code Practice name List size Numbers with hypertension
(Sept QMAS Sept Modelled Difference
2010) 2010 estimate
(actual (guide
diagnosed) only)
B81035 Dr WGT Sande & Partners 6,160 730 1,605 -875
B81056 Springhead Medical Centre 13,813 1,987 3,354 -1,367
B81104 Dr JK Nayar 6,553 149 572 -423
B81635 Dr G Dave 2,979 575 850 -275
B81662 Mizzen Road Surgery 1,720 358 515 -157
Y01200 The Calvert Practice 1,815 359 468 -109
Y02747 Kingswood Surgery 1,380 73 184 -111
B81020 Dr PC Mitchell & Partners 7,436 955 1,838 -883
B81021 Faith House Surgery 7,372 1,013 1,818 -805
B81075 Dr MK Mallik 2,197 257 721 -464
B81085 Dr JW Richardson & Ptnrs 5,302 874 1,466 -592
B81094 Dr AK Datta 1,790 225 441 -216
B81095 Dr Cook 4,145 730 1,157 -427
B81097 Dr RD Yagnik 1,689 357 508 -151
B81690 Dr SK Ray 1,650 359 400 -41
B81001 Dr Ali & Partners 3,333 408 768 -360
B81008 Dr JS Parker & Partners 14,936 1,738 3,376 -1,638
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